| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.40 | $0.40 | $0.67 | |
Cigna
| Professional | $0.41 | $0.41 | $0.41 | |
MVP Health Care
| Professional | $0.41 | $0.41 | $0.41 | |
United
| Professional | $0.89 | $1.05 | $1.62 |
Inj Theophylline Per 40 Mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.40 | $0.40 | $0.67 | |
Cigna
| Professional | $0.41 | $0.41 | $0.41 | |
MVP Health Care
| Professional | $0.41 | $0.41 | $0.41 | |
United
| Professional | $0.89 | $1.05 | $1.62 |